Table 3.
Molecular targets | Molecular pathways | Reference |
---|---|---|
a. Transmembrane Receptor Proteins and downstream signaling cascade | The receptor tyrosine kinases (RTKs): Ras/MAPK, PI3K/AKT, PLCγ/PKC, and JAK/STATs. | [190,191] |
The phosphoinositide 3 kinases/AKT/ mammalian target of rapamycin (PI3K/AKT/mTOR) signaling pathway |
[191] | |
EGFR: detected in up to 90% of PDAC | [192] | |
FGF/FGFR: The fibroblast growth factor (FGF)/FGFR pathway plays a key role in PDAC development and progression. |
[193] | |
IGF/IGFR: high expression of Insulin-like Growth Factor-1 (IGF-1) and IGF1R | [192] | |
TRK: TRK gene fusions | [194,195] | |
Vascular endothelial growth factor (VEGF)/vegfr): Angiogenesis pathway | [192] | |
b. Other pathways | WNT/β-CATENIN: | [196,197] |
NOTCH: | [197] | |
ROUNDABOUT (ROBO) RECEPTORS/ SLIT GLYCOPROTEIN LIGANDS (SLIT): | [198,199] | |
TRANSFORMING GROWTH FACTOR BETA (TGF-β): | [192,197] | |
HEDGEHOG (Hh): | [35,200,201] | |
NEUREGULIN-1 (NRG1): | [202] | |
c. Tumor-Suppressor Genes | TP53: | [197] |
SMAD4 (DPC4): | [203] | |
BRCA: | [204–206] | |
MMR DEFICIENCY | [145] | |
EMT | [193,197,207] | |
Extracellular Matrix (ECM) | [208,209] | |
Cancer Stem Cells | [210] |